ArticleCJEM2026
Enhancing emergency department nursing retention through in-house ACLS training: a quality improvement initiative.
Article in CJEM, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
3 authors.
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Abstract
objectivesThis quality improvement initiative aimed to address nursing retention in the emergency department (ED) at The Ottawa Hospital by providing accessible, in-house advanced cardiovascular life support (ACLS) training. The program sought to reduce barriers to certification, increase job satisfaction, and improve clinical confidence.
methodsFunded through an Ottawa Hospital strategic plan initiative, 16 subsidized ACLS courses were offered over 2 years (2023-2024), including both full courses and recertifications. The program utilized a blended learning model, combining online modules with hands-on, ED-specific scenarios facilitated by local ED physicians. A total of 172 nurses completed the program. Participants were surveyed to assess the program's impact on retention, job satisfaction, and confidence in ACLS skills.
resultsAmong 65 survey respondents (40.4% response rate), 73% reported that the program was important to their decision to remain in the ED, while 69% felt more valued by the organization. Participants reported increased confidence in ACLS skills (92%), with 98% rating the hands-on practice as sufficient for skill development. Course satisfaction was high, with 98% rating the program as excellent or good, and 83% strongly preferring the blended learning model as compared to the traditional didactic course. Qualitative feedback highlighted the program's role in reducing barriers to professional development and enhancing preparedness for critical care scenarios.
conclusionThe in-house ACLS program at The Ottawa Hospital was associated with higher self-reported nursing retention, job satisfaction, and skill confidence while addressing logistical and financial barriers to ACLS certification. Feedback on the blended learning model and ED-specific scenarios was highly positive. This program serves as a model for other institutions seeking to implement similar initiatives to enhance nursing retention.
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